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From the Dean's Office Bright Spots Beasley Recognized for 50 Years Wallace Named Fulbright Scholar In the Spotlight Goldman Honored for Dedication Family Medicine Adds AOA Accreditation Physicians Provide TMA Leadership Physicians Receive FLS Certification Burgiss Serves on TME Editorial Board Neff Retires after 17-Year Tenure Preston Measures CAPHIS Success Radiology Updates Residents' Lounge News Fellows' Research Workshop July 6-10 Sick Leave Bank Open Enrollment Continuing Medical and Dental Education Heart, Lung, Vascular Conference Reaches Primary Care Providers Stroke Symposium Presents Guidelines, Emergent Treatments Sullivan CDE Lecture Discusses Growth Factor and Technology Use Research Graduate School of Medicine Shares Knowledge Worldwide
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From the Dean's Office Welcome Board of Visitors
As our academic year comes to an end, I want to congratulate all of you who are completing your residency education and wish you the very best in your future endeavors as physicians or dentists. As you step into the world, know that your time here has been well spent and that we entrust you with the responsibility of excellent patient care. For those of you entering fellowships, know that your education at the Graduate School of Medicine should leave you well prepared for the challenges you will no doubt face. All of you are bright spots that will represent the Graduate School of Medicine in stellar fashion. As we move into the next year, I am excited to tell you about another very bright spot. The Graduate School of Medicine has formed a Board of Visitors whose mission is to advise the Dean and to assist the Dean in strategic planning, the development and implementation of short- and long-term goals, community outreach and service, and the garnering of financial support for education, research and clinical care. The members of the Board were selected based on their expertise, interests in medical education and research, and ability to help the Graduate School of Medicine accomplish its mission. The initial meeting of the Board of Visitors was held on June 3, 2009. I am delighted to say that all members participated fully as evidenced by the myriad of questions raised and suggestions provided. Under the direction of the Chairman, Dr. Joe Johnson (President Emeritus, University of Tennessee), each member learned about the Graduate School of Medicine, and we learned from their perspectives and knowledge. Based on this initial meeting I am even more convinced that this group of excellent individuals will be instrumental in guiding the Graduate School of Medicine in good times and in difficult times. At the evening session, four residents and one medical student told their stories to the Board. The residents were Dr. Mackenzie Hay in Family Medicine, Dr. Laura Sullivan in Internal Medicine, Dr. Samantha Evans in Pathology, and Dr. Michael Godbold in Anesthesiology. Our medical student was Shane Kelly. All of them were both enlightening and entertaining. I would ask you as faculty, residents, medical students or staff to thank any of the Board Members you may know personally or professionally. Over the coming months, you will find them visiting us frequently whether it be in the Simulation Center, shadowing residents or attending meetings. The names of our Board Members are:
James J. Neutens, PhD, FASHA
In the Spotlight Goldman Honored for Dedication
Mitchell Goldman, MD, Chair, Professor, Surgery, was honored last month by the Kidney Foundation of East Tennessee for his dedication to the treatment of kidney disease and organ transplantation. The inaugural Henry H. Dent, Jr. Founder's Award was presented to Goldman on May 15 during the foundation's spring gala. For more than 30 years, Goldman trained at Peter Bent Brigham Hospital at Harvard Medical School under Dr. Joseph Murray, the Nobel Prize winner in the field of transplant surgery. In 1985, Goldman performed the first kidney transplant at UT Memorial Hospital and Research Center (predecessor to University of Tennessee Medical Center). He has been at the UT Graduate School of Medicine for 24 years. Gray First in Tennessee
Keith D. Gray, MD, Assistant Professor, Surgery, recently performed open hepatic microwave ablation, the first such procedure in Tennessee. Microwave (MW) ablation, a relatively new hepatic ablation technique in the U.S., uses probe-directed microwave energy to ablate tumors. Compared to radiofrequency ablation, this technique offers the advantage of ablating tumors at higher temperatures (up to 150 C), killing tumors situated close to blood vessels, and ablating larger tumors. Dr. Gray emphasizes that MW ablation does not replace surgical resection but can be used as an adjunct to surgery and with patients who are not good surgical candidates. Since his inaugural procedure, Dr. Gray has found hepatic microwave ablation to be a suitable option for other patients with a variety of the different malignant tumor types. Similarly, J. Mark McKinney, MD, Chair, Interventional Radiology, recently was the first in the state to perform percutaneous hepatic microwave ablation. Overall, MW ablation expands the options available for patients with primary and metastatic liver tumors. Dr. Gray expects that the technique will find increasing appeal in the ablation of other solid organ tumors. Family Medicine Adds AOA Accreditation Family Medicine has earned accreditation from the American Osteopathic Association for six of its 24 resident positions, which was effective April 30. These accredited positions will be available to two new residents each year. This will allow Family Medicine to provide residents the training they need to become board-certified practitioners of osteopathic medicine, including training in osteopathic manipulation treatment. Doctors of osteopathic medicine use conventional methods of diagnosis and treatment but are also trained in manipulation and work toward disease and injury prevention. The Family Medicine program has been training physicians with both medical (MD) and osteopathic (DO) degrees since 1974. For more information, contact Amy Keenum, PharmD, DO, at 305-9352. Urology Earns Accreditation The UT Graduate School of Medicine Urology Residency Program, directed by Fred Klein, MD, received a 5-year accreditation from the Accreditation Council for Graduate Medical Education. This demonstrates that the program is one of the best in the country meeting, if not surpassing, all requirements for trained residents to become board-certified practitioners. The accreditation also allows the program to increase its number of residents from four to six. The Division of Urology is a section of General Surgery and the only surgical subspecialty offered at the Graduate School of Medicine. Sim Man Receives New Aorta
The UT Graduate School of Medicine Medical Simulation Center opened its doors to new learners and received a unique payoff. On May 1, after a year of preparation, Medical Simulation Center staff received an arm, leg and an aorta developed by seniors in the UT Knoxville (UTK) Biomedical Engineering Department, who are part of a program called the Capstone Experience. This two-semester course gives students experience in solving real-world engineering problems. Last year, Simulation Center staff met with sponsors from Oak Ridge National Laboratory (ORNL) and the UTK engineering department to present a list of anatomical models that would benefit Graduate School of Medicine physicians in training. These needs included an open abdominal aortic aneurysm surgery model, a venous and arterial injection model, and a blood vessel suturing model. The models would need to be anatomically correct and functional, including veins and arteries with "blood" pumping through them and proper tissue characteristics. Most importantly, the models needed to be inexpensive and reusable. Half of the students participating in the Capstone Experience, with help from ORNL, chose to work with the Simulation Center to develop the requested models as part of their final projects. The teams were successful in their efforts to create realistic, inexpensive, maintainable models and materials that will enhance physician training in the Simulation Center. After a successful inaugural year, the Simulation Center plans to continue its new partnership with ORNL and the engineering department. Staff hope to create a multi-disciplinary graduate certificate program in Medical Simulation. For more information regarding this program, contact Melinda Klar at 305-9227. FBI Trains with Marks
Murray Marks, PhD, Associate Professor in Pathology, Dentistry and Oral and Maxillofacial Surgery, led the 10th Annual Human Remains Recovery School at the UT Forensic Anthropology Center, commonly referred to as the "Body Farm," May 11-15. Forty-five Federal Bureau of Investigation agents that lead the Evidence Response Teams participated in the week-long class to learn discovery and excavation techniques for clandestine graves. The course included sessions on forensic archaeology, anthropology, entomology and dentistry. Pathology residents Ashley Zezulak, MD, and Samantha Evans, MD, also participated in the course. In addition to Dr. Marks, faculty included his former students and international scholars from Germany, Australia, Canada and Italy. The UT Forensic Anthropology Center is the only place in the country with this type of hands-on training. To date, the Human Remains Recovery School has trained 450 FBI agents from across the country. Physicians Provide TMA Leadership
UT Graduate School of Medicine faculty physicians were voted into leadership positions for the Tennessee Medical Association (TMA) and installed into office at the TMA Annual Meeting in Nashville, April 3-5. On the executive committee, Richard DePersio, MD, FACS, Clinical Associate Professor of Otolaryngology, is serving as TMA president. Providing leadership on the Board of Trustees are Roy King, MD, Clinical Associate Professor of Pathology, and Matthew Mancini, MD, Associate Professor of General Surgery. Dr. DePersio is also providing national leadership as an American Medical Association Delegate for the TMA. More information is available at www.medwire.org. Physicians Receive FLS Certification Faculty and resident physicians successfully completed the Fundamentals of Laparoscopic Surgery (FLS) exam Feb. 27, offered for the first time at the UT Graduate School of Medicine in the Medical Simulation Center. FLS certification is a new requirement for the American Board of Surgery for general surgery residents graduating in 2010 and thereafter. Completing the exam were UT Graduate School of Medicine Faculty: General Surgery Residents: OB/GYN Resident: "FLS simulates laparoscopic skills needed in the operating room and alleviates anxiety of learning these skill sets in the operating theater. FLS is a critical tool for early learning and helps build the confidence of surgeons at all levels," said Dr. Lewis. FLS is designed to teach the physiology, fundamental knowledge and technical skills required in basic laparoscopic surgery. The cognitive section of the two-part proctored exam assesses the understanding and application of the basic fundamentals of laparoscopic surgery, emphasizing clinical judgment and intra-operative decision making. The manual skills section intends to reflect the hand-eye coordination and psychomotor skills unique to laparoscopic surgical maneuvers. FLS permits learning and practice in a completely safe environment, taking the learning out of the operating room and into the lab, minimizing patient risk. Burgiss Serves on TME Editorial Board Sam Burgiss, PhD, retired professor of Radiology and Information Technology researcher, has been selected as a member of the editorial board for the Telemedicine and e-Health (TME) journal. The TME is the official journal of the American Telemedicine Association and is one of two international peer-reviewed journals for telemedicine and telehealth. The editorial board of the TME is composed of physicians and professors from institutions including Georgetown University; Massachusetts Institute of Technology; and the Universities of Arizona, California, Kentucky, Michigan, Virginia and Washington, in addition to members from Belgium, Canada, France, Japan, Norway, Pakistan, Romania, Russia and South Africa. Dr. Burgiss served as director of the UT Telehealth Network for 11 years. He has contributed more than 140 invited lectures, papers and book chapters to telehealth. Dr. Burgiss has witnessed twice to the U.S. Congress for telemedicine reimbursement and received two awards, in 2001 and 2006, from the Health Resources and Services Administration, U.S. Department of Health and Human Services for his outstanding efforts in advancing the field of telemedicine. In 2004, he received the American Telemedicine Association Presidents Award for Leadership. This award is given annually to an individual in recognition of contributions to the development and advancement of telemedicine worldwide. He authored the Telehealth Technical Assistance Manual published by the National Rural Health Association in 2006. He also serves on the boards of directors for the Center for Telehealth & E-Health Law and the American Telemedicine Association. Cox Named TSA President-Elect
W. Eric Cox, MD, Assistant Professor, Anesthesiology, was selected as president-elect for the Tennessee Society of Anesthesiologists. He will also serve as the American Society of Anesthesiologists delegate.
Dougherty Hoods Dr. Licata
John Dougherty, MD, Clinical Assistant Professor, Medicine, hooded Charles A. Licata, who received his doctorate of philosophy in Comparative & Experimental Medicine, May 7. Dr. Licata's thesis dissertation was entitled "Psychometric Development of an Instrument for the Diagnosis and Assessment of Anosagnosia in Alzheimer's Disease." Neff Retires after 17-Year Tenure
John Neff, MD, Program Director of the Pathology Residency Training Program and past Chair of Pathology from 1992–2002, will retire June 30. Pathology, the Graduate School of Medicine and University of Tennessee Medical Center have all benefitted greatly from his energy, enthusiasm and leadership over the past 17 years.
Lisa Duncan, MD, the current Associate Program Director, will assume the duties and title of Program Director upon Dr. Neff's retirement.
Preston Measures CAPHIS Success
Preston Medical Library Consumer and Patient Health Information Service (CAPHIS) staff sent a survey to 1,400 CAPHIS users to assess its impact of service. The results will be compared with the results of the same survey sent to users in 1998, in which 66% of respondents said the material they received enhanced their communication with their physician, and many said it also reduced stress. CAPHIS is celebrating 20 years of service in 2009. Check The Scope each month for more interesting facts about CAPHIS leading to its 20th anniversary celebration in October. Radiology Presents Updated Residents' Lounge
Radiology faculty and residents held an open house April 7, inviting UT Graduate School of Medicine staff to tour the renovated residents' lounge. Through the generosity of Radiology faculty, residents now have a lounge equipped with computer workstations, a television, sofa and kitchen amenities. Waters Inducted to AAGUS
W. Bedford Waters, MD, Professor of Surgery/Urology, was initiated to the American Association of Genitourinary Surgeons (AAGUS), during its 123rd meeting at The Lodge at Torrey Pines in La Jolla, Cali., May 6-9. As part of the induction activities, Dr. Waters gave a presentation entitled, "Nephron Sparing Surgery Employing a Bipolar Radiofrequency Resection Device." Co-authors were Wesley White, MD, and Frederick Klein, M.D. Dr. Waters was inducted with seven new "Active Members" and two "International Members." New Faculty and Staff FacultySteven Cogswell, MD, Assistant Professor, Pathology Neil M. Coleman, MD, Clinical Assistant Professor, Pathology Patrick McConville, MD, Clinical Instructor, Anesthesiology G. Anthony Wilson, MD, Clinical Assistant Professor, Family Medicine News Headshots to be taken July 1
Fellows' Research Workshop July 6-10 A Fellows' Research Workshop is planned for July 6-10, 7:30-11:30 a.m. each day in the Dean's Conference Room, third floor, UT Graduate School of Medicine. All incoming and current fellows are required to attend. The sessions will be taught by Lorraine Wallace, PhD, Assistant Professor, Family Medicine, and William Metheny, PhD, Assistant Dean, Graduate Medical and Dental Education. Topics will include clinical research, clinical trials, data management, measuring, the IRB, writing for publication, qualitative research, observational studies and many more. A complete agenda, including all topics, is available here. For information, call the UT Graduate School of Medicine Office of Graduate Medical and Dental Education at 305-9339. The workshop is presented by the Office of Graduate Medical and Dental Education and Virtual Research Office. Sick Leave Bank Open Enrollment UT Graduate School of Medicine employees have the opportunity to enroll in the University Health System, Inc. Sick Leave Bank during open enrollment now through June 30. To see if you meet eligibility requirements and for more information regarding participation, visit University of Tennessee Medical Center's employee intranet site, Insite. To enroll, complete the "Sick Leave Bank Enrollment Request, Hospital Leased" form, and submit it to UHS Human Resources, Box 36, no later than June 30. Current bank members do not need to re-enroll, and they will not be assessed additional hours during the 2009 enrollment period. After June 30, the next opportunity to join the Sick Leave Bank will be Spring 2010. For more information, contact Betty Gissel or Linda Wheeler. Continuing Medical and Dental Education CMDE Calendar Mark your calendars for these Continuing Medical and Dental Education activities, sponsored by the UT Graduate School of Medicine. Look for the ~New Conference~ notation, announcing conferences offered for the first time. September 11-12, 2009: Heart, Lung, Vascular CME Conference, UT Conference Center ~New Conference~ October 22, 2009: 2nd Annual Stroke Symposium, UT Conference Center Heart, Lung, Vascular Conference Reaches Primary Care Providers
Tennessee ranks 48th in cardiovascular deaths. Atrial fibrillation affects 10% of the population over age 70 and is usually first confronted by primary care providers. The most common cause of death among their patients is vascular disease. The Heart, Lung, Vascular Conference will help primary care providers tackle these looming health issues by providing the latest information and tools from experts, including Thomas Giles, MD, Professor of Medicine, Tulane University School of Medicine, Louisiana. Attendees will leave this conference with the basics of cardiology and pulmonary information as well as knowledge of the most recent advances in the field. In particular, participants will learn about adequate blood pressure control; appropriate screening of patients; correct therapy for atrial fibrillation patients; and treatment goals for various subgroups. The HLV Conference is offered by the UT Graduate School of Medicine and Internal Medicine and directed by Stuart Bresee, MD, Clinical Associate Professor, Medicine, Chief, Cardiology Division. Registration for the conference will open soon at www.tennessee.edu/cme/HLV2009. For more information, contact Communications and Outreach at 305-9190. Stroke Symposium Presents Guidelines, Emergent Treatments
Stroke is the third leading cause of mortality in Tennessee, yet stroke patients' care differs across the state. The Tennessee Heart Disease and Stroke Prevention Plan outlines objectives to prevent stroke, improve access to care and emergent treatment, and ensure that all Tennesseans diagnosed with stroke receive aggressive treatment to prevent mortality and associated complications or disabilities. The Second Annual Stroke Symposium will provide education to improve the healthcare provider's knowledge of these guidelines, which is critical to improving outcomes for these patients. Participants will learn about evaluation, diagnosis and treatment of stroke; interventional management of cerebral aneurysms; strategies for primary and secondary prevention of stroke; post-stroke rehabilitation priorities and innovations; evaluation and triage of patient problems; and drug therapies for stroke patients. Information will be presented by experts in the field, including Todd Crocco, MD, Chair and Fellowship Director, Department of Emergency Medicine, West Virginia University; James Groce, III, PharmD, CACP, Professor, Department of Pharmacy Practice, Campbell University School of Pharmacy, North Carolina; and Corley Roberts, MHS, Director, Quality Improvement Initiatives, American Heart Association, Tennessee. Directed by John Beuerlein, MD, Medical Director of Knoxville Inpatient Physicians and University of Tennessee Medical Center Primary Stroke Program, this CME event will open registration soon at www.tennessee.edu/cme/Stroke2009. For more information, contact Communications and Outreach at 305-9190. Sullivan CDE Lecture Discusses Growth Factor and Technology Use
The 2009 John E. Sullivan, D.D.S. Endowed Lecture, April 29, offered two divergent topics with one important goal: educate dental professionals to improve oral surgery outcomes. The CDE lecture, Growth Factor Use in Surgical Techniques and Technology-Driven Treatment in Dental Implant Techniques, closely examined options for oral surgery, including the use of rhBMP-2 (recombinant human bone morphogenetic protein-2) growth factor with surgical techniques and the use of technology, such as cone beam CT (CBCT) and CAD/CAM in dental implant techniques. Expert speakers included Alan S. Herford, DDS, MD, Chair and Program Director, Department of Oral and Maxillofacial Surgery, Loma Linda University, and Stanley E. Rye, DDS, Atlanta prosthodontist. The activity was sponsored by the UT Graduate School of Medicine and Oral and Maxillofacial Surgery and was directed by Eric Carlson, DMD, MD. Research Graduate School of Medicine Shares Knowledge Worldwide
Research Highlights Surgery Presents and Wins at ACOS Physicians in Surgery attended and presented at the Tennessee Chapter of the American College of Surgeons meeting at Fall Creek Falls State Park, Pikeville, Tenn., May 22-24. Mike Tummers, MD, Resident, won the Tennessee Chapter Committee on Trauma Basic Science Competition for his presentation, "Linear Relationship of Force to Injury in a Blunt Aortic Injury Model." He will present at the Regional Competition in November. Co-authors included Daniel Alterman, MD, Justin Baba, PhD, Michael Ericson, PhD, Gary Alley, PhD, and Brian Daley, MD. LaMar Mack, MD, Resident, won second place in the Adkins/Morgan Resident Paper Competition for his paper titled, "Initiation of a Vascular Surgical Carotid Artery Stenting Program." Scott Stevens, MD, co-authored. Other presentations included Daniel Alterman, MD Sagar Gandhi, MD Khanjan Nagarsheth, MD Christine Ormsby, MD Sabina Siddiqui, MD Mike Tummers, MD Andrea Ward Bradshaw Secures Second
Jonathan Bradshaw, DDS, Resident, Dentistry, placed second for his poster, "Amelogenesis Imperfecta: Using Snap on Smile to Enhance Facial Esthetics of an Adolescent Male," at the 21st Annual Meeting on Special Care Dentistry in Baltimore, Md., April 17-19. O. Lee Wilson, DMD, Associate Professor and Program Director, Dentistry, and Murray Marks, PhD, Associate Professor, Oral and Maxillofacial Surgery/Division of General Dentistry and Pathology, advised and contributed. Sports Medicine Rallies
Primary Care Sports Medicine physicians participated in the American Medical Society for Sports Medicine 18th Annual Meeting, "The Pulse of Sports Medicine," in Tampa, Fla., April 24-29. Tanika Pinn, MD, Fellow, presented a clinical case poster, "Smoky Mountain Hiker with Hip Pain." Kenneth Bielak, MD, Fellowship Director, helped organize the S.M.A.R.T. (Sideline Management Assessment Response Techniques) Workshop and taught a session on the evaluation of the lower extremity. Rebecca Morgan, MD, Clinical Assistant Professor, Family Medicine, also attended. Anesthesia Faculty Review Abstracts Faculty in Anesthesiology reviewed abstracts in participation with annual meetings. Daniel Bustamante, MD, reviewed abstracts for the 2009 International Anesthesia Research Society Annual Meeting. Robert Craft, MD, and Jerry Epps, MD, reviewed abstracts for the 2009 International Anesthesia Research Society 83rd Clinical and Scientific Congress. Dr. Craft also participated as moderator of research discussions. For the 2009 Annual Meeting for the Society for Education in Anesthesia, Dr. Craft participated as an abstract reviewer. Presentations Annual 2009 Cardiac Critical Care Conference, Whistler, British Columbia, Feb. 25-27 Poster Presentation "Safety of Converting Critically Ill Patients from Intravenous to Oral Nicardipine" The American Society for Biochemistry and Molecular Biology Conference Annual Meeting, New Orleans, April 18-22 Invited Presentation Society of Teachers of Family Medicine Annual Spring Conference, Denver, Colo., April 29-May 3 Amy Keenum, PharmD, DO, Lorraine Wallace, PhD, James Tompkins, MD, Sigrid Johnson, MD Poster Presentation National Rural Health Association Annual Conference, Miami Beach, Fla., May 5-8 Lorraine Wallace, PhD, Amy Keenum, PharmD, DO, Jennifer Devoe, MD, PhD, Carrie Tillotson, MPH Poster Presentation South College Masters Program, Knoxville, May 20 Invited Lecture Biomedical Science and Engineering Center, Oak Ridge National Laboratories, Oak Ridge, Tenn., May 21 Invited Lecture Publications Das B, Mahalingam S, Evans T, Kabalka G, Anguiano J, Hema K Dadush E, Green J, Sease A, Naravane A, Pagni R,
Kabalka G Keenan J, Sommerfelt C, Finger R Lee R, Green C, Negrea O, Dodson S, Farrell S, Hewitt J, Jago T, Ramsey C, Cato S, Crawford E, Henley D, Phelan M, Potter N Marks, M Marks M, Moyers DK, Tu P, Williams P Trammell L, Marks M, Klippel W, Mileusnic D Book Chapters Lawson C and Daley B Daley B, Aycinena J, Mallat A, and Taylor D PubMed Clark CT Potter NT Wilson JM, Wallace LS, DeVoe JE Ache K, Wallace L Yao ML, Quick TR, Wu Z, Quinn MP, Kabalka GW Patton A, Page R, Googe P, King R Abbasi NR, Yancovitz M, Gutkowicz-Krusin D, Panageas KS, Mihm MC, Googe P, King R, Prieto V, Osman I, Friedman RJ, Rigel DS, Kopf AW, Polsky D Friedman RJ, Gutkowicz-Krusin D, Farber MJ, Warycha M, Schneider-Kels L, Papastathis N, Mihm MC Jr, Googe P, King R, Prieto VG, Kopf AW, Polsky D, Rabinovitz H, Oliviero M, Cognetta A, Rigel DS, Marghoob A, Rivers J, Johr R, Grant-Kels JM, Tsao H Kabalka GW, Yao ML, Marepally SR, Chandra S Vaughn CJ Nichols TL, Kabalka GW, Miller LF, McCormack MT, Johnson A Carlson ER, Basile JD Biescas E, Jirón W, Climent S, Fernández A, Pérez M, Weiss DT, Solomon A, Luján L Enqvist S, Mellqvist UH, Mölne J, Sletten K, Murphy C, Solomon A, Stevens FJ, Westermark P
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